Bozek Orthodontics is proud to actively take part in the Burlington and Waterdown communities. We are strong supporters of local causes and charitable organizations, and are interested in participating in events that help better these communities. Our focus is to support local youth groups, health and wellness programs, and the arts. It is our pleasure to review and consider your request. Please be aware that due to the large number of sponsorship inquiries we cannot accept all requests. GENERAL INFORMATION Today’s Date Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Month January February March April May June July August September October November December Year Year 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Are you or a family member a current Bozek patient? Yes No Past Patient? Yes No Name of patient NAME OF ORGANIZATION Is the organization a not for profit? Yes No Registered Charity Business Number Address Phone Fax Website TEAM/PROGRAM SPONSORSHIP REQUEST Name of Team/Program Dates of Season (from - to) Name of Sports League/Organization Sponsorship Request EVENT REQUEST (if applicable) Name of Event Date of Event Day Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Month January February March April May June July August September October November December Year Year 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Event Location Number of Years Event Has Been Held Event description (# of attendees, audience, purpose, fundraising goal) Sponsorship Request: (Please attach any additional information) SPONSOR CONTACT INFORMATION Sponsor Coordinator Daytime Phone Number Email address Cheque should be written to PARTNERSHIP BENEFITS Please list sponsor benefits, including but not limited to: Signage, Program Recognition, Banners, PR mentions, Social Media mentions, Sampling, Speaking opportunities, Website links, etc. Recognition Logo on T-shirts/Jersey Logo link on Website Logo on Program Radio or Announcer Recognition Logo on Poster/Banner Logo on Flyers Other (please specify) Why is your sport, hobby or event important to you? (To be filled out by youth participant) Please email any further information or questions to sponsorship@bozekorthodontics.com This field should be left blank Send Please wait...
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